Claims Detail Screen
Locate the terms found in the claims detail screen.
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BRAND-NAME
DATE-OF-SERVICE
DATE-SUBMITTED
DAW-CODE
DAY-SUPPLY
DEA-CLASS
GENERIC-INDICATOR
GENERIC-NAME
GPI
MANUFACTURER
NABP
NDC
NPI
PRESCRIBER-ID
PRESCRIBER-NAME
PROVIDER-NAME
QUANTITY-DIPENSED
REJECTION-CODE
REJECTION-MESSAGE
REMAININGTROOP
RX-NUMBER
| D | T | I | R | B | I | D | W | J | O | Y | E | D | O | C | - | W | A | D | Y |
| A | E | P | E | P | X | E | O | M | Z | U | Q | J | A | M | O | F | U | X | T |
| T | C | G | J | B | B | M | A | N | U | F | A | C | T | U | R | E | R | Z | U |
| E | I | E | E | A | R | A | P | R | X | O | V | K | T | L | E | D | F | G | V |
| - | V | N | C | N | Q | N | N | I | N | Z | J | M | X | I | E | K | N | M | F |
| S | R | E | T | D | E | - | W | Y | L | P | P | U | S | - | Y | A | D | A | X |
| U | E | R | I | C | C | R | E | M | A | I | N | I | N | G | T | R | O | O | P |
| B | S | I | O | I | S | E | I | X | F | S | Z | M | O | I | C | S | T | H | R |
| M | - | C | N | Y | D | B | T | C | H | S | D | J | Q | W | S | P | Q | E | E |
| I | F | - | - | C | O | I | F | F | - | C | H | G | K | A | B | X | H | Q | S |
| T | O | N | C | V | E | R | P | T | Y | I | W | Z | L | I | S | S | O | R | C |
| T | - | A | O | R | Z | C | J | E | I | P | N | C | I | A | H | H | Q | E | R |
| E | E | M | D | D | L | S | E | P | C | O | - | D | F | K | E | U | M | B | I |
| D | T | E | E | J | U | E | F | J | Z | A | S | B | I | B | O | M | X | M | B |
| P | A | D | L | U | O | R | E | Q | E | Q | Y | V | I | C | V | G | E | U | E |
| E | D | E | S | N | E | P | I | D | - | Y | T | I | T | N | A | U | Q | N | R |
| B | R | A | N | D | - | N | A | M | E | O | J | I | T | K | X | T | L | - | - |
| M | K | P | R | O | V | I | D | E | R | - | N | A | M | E | P | H | O | X | I |
| C | X | E | G | A | S | S | E | M | - | N | O | I | T | C | E | J | E | R | D |
| I | L | R | L | C | L | O | L | P | T | Z | K | T | T | L | O | H | A | X | Y |
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